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Published in: International Journal of Public Health 1/2019

Open Access 01-01-2019 | Original Article

Women’s health and well-being in low-income formal and informal neighbourhoods on the eve of the armed conflict in Aleppo

Authors: Balsam Ahmad, Fouad M. Fouad, Shahaduz Zaman, Peter Phillimore

Published in: International Journal of Public Health | Issue 1/2019

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Abstract

Objectives

To explore how married women living in low-income formal and informal neighbourhoods in Aleppo, Syria, perceived the effects of neighbourhood on their health and well-being, and the relevance of these findings to future urban rebuilding policies post-conflict.

Methods

Semi-structured interviews were undertaken with eighteen married women living in informal or socioeconomically disadvantaged formal neighbourhoods in Aleppo in 2011, a year before the armed conflict caused massive destruction in all these neighbourhoods.

Results

Our findings suggest that the experience of neighbourhood social characteristics is even more critical to women’s sense of well-being than environmental conditions and physical infrastructure. Most prominent was the positive influence of social support on well-being.

Conclusions

The significance of this study lies, first, in its timing, before the widespread destruction of both formal and informal neighbourhoods in Aleppo and, second, and in its indication of the views of women who lived in marginalised communities on what neighbourhood characteristics mattered to them. Further research post-conflict needs to explore how decisions on urban rebuilding are made and their likely influence on health and well-being.
Literature
go back to reference Ahmad B (2014) Exploring the role of triangulation in the production of knowledge for urban health policy: an empirical study from informal settlements in Aleppo, Syria. Forum Dev Stud; Special Issue: ‘Knowing Development, Developing Knowledge?’ 41:433–454 Ahmad B (2014) Exploring the role of triangulation in the production of knowledge for urban health policy: an empirical study from informal settlements in Aleppo, Syria. Forum Dev Stud; Special Issue: ‘Knowing Development, Developing Knowledge?’ 41:433–454
go back to reference Ahmad B, Sudermann Y (2012) Syria’s contrasting neighborhoods: gentrification and informal settlements juxtaposed. St Andrews Papers on Contemporary Syria, Lynne Rienners Boulder Ahmad B, Sudermann Y (2012) Syria’s contrasting neighborhoods: gentrification and informal settlements juxtaposed. St Andrews Papers on Contemporary Syria, Lynne Rienners Boulder
go back to reference Ahmad B, Fouad F, Rastam S, Pless-Mulloli T (2009) Systematic observations of health damaging factors in informal neighbourhoods in Aleppo, Syria—a pilot study. Epidemiology 20:S190CrossRef Ahmad B, Fouad F, Rastam S, Pless-Mulloli T (2009) Systematic observations of health damaging factors in informal neighbourhoods in Aleppo, Syria—a pilot study. Epidemiology 20:S190CrossRef
go back to reference Ahmad B, Ryan V, Maziak W, Pless-Mulloli T, White M (2013) The influence of neighbourhood formality status and socio-economic position on self-rated health among adult men and women: a multilevel, cross sectional, population study from Aleppo, Syria. BMC Public Health 13:233CrossRefPubMedPubMedCentral Ahmad B, Ryan V, Maziak W, Pless-Mulloli T, White M (2013) The influence of neighbourhood formality status and socio-economic position on self-rated health among adult men and women: a multilevel, cross sectional, population study from Aleppo, Syria. BMC Public Health 13:233CrossRefPubMedPubMedCentral
go back to reference Al-Sabouni M (2016) The battle for home. The memoir of a Syrian architect. Thames & Hudson Ltd, London Al-Sabouni M (2016) The battle for home. The memoir of a Syrian architect. Thames & Hudson Ltd, London
go back to reference Asfar T, Ahmad B, Rastam S, Pless-Mulloli T, Ward KD, Maziak W (2007) Self-rated health and its determinants among adults in Syria: a model from the middle east. BMC Public Health 7:177CrossRefPubMedPubMedCentral Asfar T, Ahmad B, Rastam S, Pless-Mulloli T, Ward KD, Maziak W (2007) Self-rated health and its determinants among adults in Syria: a model from the middle east. BMC Public Health 7:177CrossRefPubMedPubMedCentral
go back to reference Bolam B, Murphy S, Gleeson K (2004) Individualisation and inequalities in health: a qualitative study of class identity and health. Soc Sci Med 59:1355–1365CrossRefPubMed Bolam B, Murphy S, Gleeson K (2004) Individualisation and inequalities in health: a qualitative study of class identity and health. Soc Sci Med 59:1355–1365CrossRefPubMed
go back to reference Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3:77–101CrossRef Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3:77–101CrossRef
go back to reference Castro PC, Lindbladh E (2004) Place, discourse and vulnerability—a qualitative study of young adults living in a Swedish urban poverty zone. Health Place 10:259–272CrossRefPubMed Castro PC, Lindbladh E (2004) Place, discourse and vulnerability—a qualitative study of young adults living in a Swedish urban poverty zone. Health Place 10:259–272CrossRefPubMed
go back to reference Clerc V (2014) Informal settlements in the Syrian conflict: urban planning as a weapon. Built Environ 40:34–51CrossRef Clerc V (2014) Informal settlements in the Syrian conflict: urban planning as a weapon. Built Environ 40:34–51CrossRef
go back to reference Coker WM (2008) Religion, ethnicity, and community mental health: service provision and identity politics in an unplanned Egyptian community. Commun Dev J 43:79–92CrossRef Coker WM (2008) Religion, ethnicity, and community mental health: service provision and identity politics in an unplanned Egyptian community. Commun Dev J 43:79–92CrossRef
go back to reference Davidson R, Mitchell R, Hunt K (2008) Location, location, location: the role of experience of disadvantage in lay perceptions of area inequalities in health. Health Place 14:167–181CrossRefPubMed Davidson R, Mitchell R, Hunt K (2008) Location, location, location: the role of experience of disadvantage in lay perceptions of area inequalities in health. Health Place 14:167–181CrossRefPubMed
go back to reference El Laithy H, Abu-Ismail K (2005) Poverty in Syria: 1996–2004. Diagnosis and pro-poor policy considerations. United Nations Development Programme (UNDP), Damascus, Syria El Laithy H, Abu-Ismail K (2005) Poverty in Syria: 1996–2004. Diagnosis and pro-poor policy considerations. United Nations Development Programme (UNDP), Damascus, Syria
go back to reference Fernandes E (2008) Informal settlements in Syria: a general framework for understanding and confronting the phenomenon. EU funded programme of Municipal Administration Modernisation Fernandes E (2008) Informal settlements in Syria: a general framework for understanding and confronting the phenomenon. EU funded programme of Municipal Administration Modernisation
go back to reference Fouad MF, Annie S, Ahmad T, Mohammad A, Fadi E-J et al (2017) Health workers and the weaponisation of health care in Syria: a preliminary inquiry for the Lancet-American University of Beirut Commission on Syria. Lancet 390:2516–2526CrossRefPubMed Fouad MF, Annie S, Ahmad T, Mohammad A, Fadi E-J et al (2017) Health workers and the weaponisation of health care in Syria: a preliminary inquiry for the Lancet-American University of Beirut Commission on Syria. Lancet 390:2516–2526CrossRefPubMed
go back to reference Goulden R (2011) Housing, inequality, and economic change in Syria. Br J Middle East Stud 38:187–202CrossRef Goulden R (2011) Housing, inequality, and economic change in Syria. Br J Middle East Stud 38:187–202CrossRef
go back to reference Habib RR, Mahfoud Z, Fawaz M, Basma SH, Yeretzian JS (2009) Housing quality and ill health in a disadvantaged urban community. Public Health 123:174–181CrossRefPubMed Habib RR, Mahfoud Z, Fawaz M, Basma SH, Yeretzian JS (2009) Housing quality and ill health in a disadvantaged urban community. Public Health 123:174–181CrossRefPubMed
go back to reference Hammal F, Mock J, Ward K, Fouad M, Beech B, Maziak W (2005) Settling with danger: conditions and health problems in peri-urban neighbourhoods in Aleppo, Syria. Environ Urban 17:113–125CrossRef Hammal F, Mock J, Ward K, Fouad M, Beech B, Maziak W (2005) Settling with danger: conditions and health problems in peri-urban neighbourhoods in Aleppo, Syria. Environ Urban 17:113–125CrossRef
go back to reference Hanna E (2018) The politics of urban reconstruction in Syria. Collective reflections about development practice and cities. The Bartlett Development Planning Unit, London Hanna E (2018) The politics of urban reconstruction in Syria. Collective reflections about development practice and cities. The Bartlett Development Planning Unit, London
go back to reference Hinnebusch R (2012a) Forward: urban divergence under neoliberalism. In: Ahmad B, Sudermann Y (eds) Syria’s contrasting neighbourhoods gentrification and informal settlements juxtaposed (St Andrews Papers on Contemporary Syria). University of St Andrews Centre for Syrian Studies, Fife Hinnebusch R (2012a) Forward: urban divergence under neoliberalism. In: Ahmad B, Sudermann Y (eds) Syria’s contrasting neighbourhoods gentrification and informal settlements juxtaposed (St Andrews Papers on Contemporary Syria). University of St Andrews Centre for Syrian Studies, Fife
go back to reference Hinnebusch R (2012b) Syria: from ‘authoritarian upgrading’ to revolution? Int Aff 88:95–113CrossRef Hinnebusch R (2012b) Syria: from ‘authoritarian upgrading’ to revolution? Int Aff 88:95–113CrossRef
go back to reference Idres I (2016) Building social cohesion in post-conflict situations. In: GSDRC (ed) Applied knowledge services. GSDRC Idres I (2016) Building social cohesion in post-conflict situations. In: GSDRC (ed) Applied knowledge services. GSDRC
go back to reference Lavinal O (2008) The challenges of urban expansion in Syria: the issue of informal housing. En ville de développement 79:7–8 Lavinal O (2008) The challenges of urban expansion in Syria: the issue of informal housing. En ville de développement 79:7–8
go back to reference Lilford RJ, Oyebode O, Satterthwaite D, Melendez-Torres GJ, Chen YF et al (2017) Improving the health and welfare of people who live in slums. Lancet 389:559–570CrossRefPubMed Lilford RJ, Oyebode O, Satterthwaite D, Melendez-Torres GJ, Chen YF et al (2017) Improving the health and welfare of people who live in slums. Lancet 389:559–570CrossRefPubMed
go back to reference Macintyre S, Ellaway A, Cummins S (2002) Place effects on health: how can we conceptualise, operationalise and measure them? Soc Sci Med 55:125–139CrossRefPubMed Macintyre S, Ellaway A, Cummins S (2002) Place effects on health: how can we conceptualise, operationalise and measure them? Soc Sci Med 55:125–139CrossRefPubMed
go back to reference Makhoul J, Abi Ghanem D, Ghanem M (2003) An ethnographic study of the consequences of social and structural forces on children: the case of two low-income Beirut suburbs. Environ Urban 15:249–259CrossRef Makhoul J, Abi Ghanem D, Ghanem M (2003) An ethnographic study of the consequences of social and structural forces on children: the case of two low-income Beirut suburbs. Environ Urban 15:249–259CrossRef
go back to reference Maziak W, Ward K, Mzayek F et al (2005) Mapping the health and environmental situation in informal zones in Aleppo, Syria: report from the Aleppo household survey. Int Arch Occup Environ Health 78:547–558CrossRefPubMed Maziak W, Ward K, Mzayek F et al (2005) Mapping the health and environmental situation in informal zones in Aleppo, Syria: report from the Aleppo household survey. Int Arch Occup Environ Health 78:547–558CrossRefPubMed
go back to reference Popay J, Thomas C, Williams G, Bennett S, Gatrell A, Bostock L (2003) A proper place to live health inequalities, agency, and the normative dimensions of space. Soc Sci Med 57:55–69CrossRefPubMed Popay J, Thomas C, Williams G, Bennett S, Gatrell A, Bostock L (2003) A proper place to live health inequalities, agency, and the normative dimensions of space. Soc Sci Med 57:55–69CrossRefPubMed
go back to reference Sibai AM, Risk A, Chemaitelly H (2017) Self-rated health disparities among disadvantaged older adults in ethnically diverse urban neighborhoods in a middle eastern country. Ethn Health 22:490–509CrossRefPubMed Sibai AM, Risk A, Chemaitelly H (2017) Self-rated health disparities among disadvantaged older adults in ethnically diverse urban neighborhoods in a middle eastern country. Ethn Health 22:490–509CrossRefPubMed
go back to reference Syrian Center for Policy Research (2017) The conflict impact on social capital. Social Degradation in Syria. Friedrich-Ebert-Stiftung, Dubai, UAE Syrian Center for Policy Research (2017) The conflict impact on social capital. Social Degradation in Syria. Friedrich-Ebert-Stiftung, Dubai, UAE
go back to reference Taleb ZB, Bahelah R, Fouad FM, Coutts A, Wilcox M, Maziak W (2015) Syria: health in a country undergoing tragic transition. Int J Public Health 60:63CrossRef Taleb ZB, Bahelah R, Fouad FM, Coutts A, Wilcox M, Maziak W (2015) Syria: health in a country undergoing tragic transition. Int J Public Health 60:63CrossRef
go back to reference The Aleppo Informal Settlements Task Force (2009) Informal settlements in Aleppo. Rapid profiles of all informal settlements in Aleppo. Gesellschaft für Technische Zusammenarbeit (GTZ), City of Aleppo and Madinatuna, Syrian Arab Republic The Aleppo Informal Settlements Task Force (2009) Informal settlements in Aleppo. Rapid profiles of all informal settlements in Aleppo. Gesellschaft für Technische Zusammenarbeit (GTZ), City of Aleppo and Madinatuna, Syrian Arab Republic
go back to reference UN-HABITAT (2003) Slums of the world: the face of urban poverty in the New Millennium? UN-HABITAT, Nairobi UN-HABITAT (2003) Slums of the world: the face of urban poverty in the New Millennium? UN-HABITAT, Nairobi
go back to reference Wakely P (2010) Notes on a proposed policy and implementation strategies for informal settlements, Programme for Sustainable Urban Development for Syria, Aleppo Urban Development Project Wakely P (2010) Notes on a proposed policy and implementation strategies for informal settlements, Programme for Sustainable Urban Development for Syria, Aleppo Urban Development Project
go back to reference Wallis AB, Winch PJ, O’Campo PJ (2010) “This is not a well place”: neighborhood and stress in Pigtown. Health Care Women Int 31:113–130CrossRefPubMed Wallis AB, Winch PJ, O’Campo PJ (2010) “This is not a well place”: neighborhood and stress in Pigtown. Health Care Women Int 31:113–130CrossRefPubMed
go back to reference World Health Organisation (1978) Declaration of Alma-Ata. In: International conference on primary healthcare, Alma-Ata, USSR, 6–12 September, World Health Organisation, Geneva World Health Organisation (1978) Declaration of Alma-Ata. In: International conference on primary healthcare, Alma-Ata, USSR, 6–12 September, World Health Organisation, Geneva
Metadata
Title
Women’s health and well-being in low-income formal and informal neighbourhoods on the eve of the armed conflict in Aleppo
Authors
Balsam Ahmad
Fouad M. Fouad
Shahaduz Zaman
Peter Phillimore
Publication date
01-01-2019
Publisher
Springer International Publishing
Published in
International Journal of Public Health / Issue 1/2019
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-018-1150-2

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